Donnell Dwayne Porter
ActiveCalifornia license 21989
License
- Licensed by
- California State Board of Pharmacy
- License number
- 21989
- Status
- Active
- First issued
- January 9, 2013
- Expires
- January 1, 2027
- License holder
- Donnell Dwayne Porter
- Entity type
- Individual
Classifications
- Wls/mfg Designated Representative In Charge Pharmacy
More from the license record
- License type code
- EXC
- School
- Other/fg
- Year graduated
- 2012
- Degree
- Degree Not Applicable
Contact
7565 N Lockheed Dr
Burbank, CA 91505
Burbank, CA 91505
Los Angeles County